OMB control number

Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees

OMB 0505-0025 · USDA/OCFO.

OMB 0505-0025

Information collected will be used to evaluate corporate applicants and awardees felony conviction and tax delinquency status prior to entering into new non-procurement contracts, grants, loans, loan guarantees, cooperative agreements and some memoranda of agreement. The information is needed to ensure fiscal year funds are not inappropriately disbursed.

The latest form for Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants & Awardees expires 2022-06-30 and is listed under ICR 201910-0505-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Change Justification - OMB Control No. 0505-0025_1.4.23.docx Justification for No Material/Nonsubstantive Change
Change Justification - OMB Control No. 0505-0025_1.4.23.docx Justification for No Material/Nonsubstantive Change
0505-0025 Generic Renewal SuptStmt_v2_Final_OCFO-OCIO.docxSupporting Statement A
0505-0025 Generic Renewal SuptStmt_v2_Final_OCFO-OCIO.docxSupporting Statement A
AD-3030_508-v3.pdf Supplementary Document
AD-3030_508-v3.pdf Supplementary Document

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202301-0505-002 No material or nonsubstantive change to a currently approved collection 2023-01-05 Approved without change
202205-0505-001 Revision of a currently approved collection 2022-06-22 Approved with change
201910-0505-001 No material or nonsubstantive change to a currently approved collection 2019-10-17 Approved without change
201908-0505-001 Generic IC 2019-08-14 Approved without change
201904-0505-002 Revision of a currently approved collection 2019-04-29 Approved without change
201609-0505-001 Generic IC 2016-09-15 Approved without change
201604-0505-001 Revision of a currently approved collection 2016-04-21 Approved without change
201601-0505-001 Revision of a currently approved collection 2016-02-29 Withdrawn and continue
201503-0505-002 No material or nonsubstantive change to a currently approved collection 2015-03-20 Approved without change
201503-0505-001 No material or nonsubstantive change to a currently approved collection 2015-03-19 Withdrawn and continue
201501-0505-001 No material or nonsubstantive change to a currently approved collection 2015-01-20 Approved without change
201304-0505-001 No material or nonsubstantive change to a currently approved collection 2013-04-03 Approved without change
201212-0505-001 Revision of a currently approved collection 2012-12-13 Approved without change
201211-0505-001 No material or nonsubstantive change to a currently approved collection 2012-11-30 Approved without change
201206-0505-005 No material or nonsubstantive change to a currently approved collection 2012-06-29 Approved without change
201206-0505-004 No material or nonsubstantive change to a currently approved collection 2012-06-27 Approved without change
201206-0505-003 New collection (Request for a new OMB Control Number) 2012-06-15 Approved without change